Question 227 · LEK · Gout
A 51-year-old patient suffers from recurrent exudates in the left knee, treated by the orthopedic surgeon with repeated joint fluid evacuation and the intra-articular administration of glucocorticosteroids. His family doctor ordered the X-ray of the knee joints which showed linear shadows in the cartilages and triangle deposits in the menisci. The described signs and symptoms suggest:
- A. osteoporosis.
- B. gout.
- C. seronegative spondyloarthropathy.
- D. pseudogout caused by calcium pyrophosphate crystals.
- E. acute arthritis.
Hint
Linear calcification of cartilage and menisci on X-ray is called chondrocalcinosis; think which crystals produce it.
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